Purpose

The student will obtain a health history on a willing, nonrelated,
adult participant in order to generate written documentation that is clear and
accurate.

Course Outcomes

This assignment enables the student to meet the following
course outcomes:

CO #3: Utilize effective
communication when performing a health assessment. (PO #3)

CO #4: Identify teaching/learning
needs from the health history of an individual. (PO #2)

CO #5: Explore the professional
responsibilities involved in conducting a comprehensive health assessment and
providing appropriate documentation. (PO #6)

Points

This assignment is worth a total of 175 points.

Due Date

The Course Project Milestone 1: Health History assignment is
to be submitted to the Dropbox by Sunday, 11:59 p.m. MT at the end of this Week
4. The guidelines and grading rubric may be found in Doc Sharing. Post
questions to the Q & A Forum. Contact your instructor if you need
additional assistance.

Disclaimer

The focus of this assignment is on communicating details
within the written client record. When taking a health history on an actual
client, it is essential that the information is accurate. Please inform the
person you are interviewing that they do NOT
need to disclose information that they wish to keep confidential. If the
interviewee decides not to share information, please write, “Does not want to disclose.”

Directions

1. 
Find an adult who is not related to you who is willing to let you take a
health history.

2.  Download the NR305_Milestone1_Form
from Doc Sharing. You will type your answers directly into this Word document.
Your paper does NOT need to follow APA formatting; however, you are expected to
be clear in your communication by using correct medical terminology, grammar,
and spelling.

3. 
Review the
examples in Chapter 4 of your textbook to gain insight into how to document the
health history. Remember this is
a health history, not
a physical assessment.Avoid
words like frequently, improved, increased, decreased, good, poor, normal, or
WNL as they may have different meanings for different people. Instead, document
the specific data that led you to these conclusions, e.g., 3x/day instead of “frequently,”
or consuming 4 servings of vegetables/day instead of “increased” vegetable
servings.

4. 
Save the file by clicking “Save as” and adding your last name to the file
name, e.g., “NR305_Milestone1_Form_Smith”.

5. 
Submit the completed form to the Dropbox by Sunday, 11:59 p.m. MT at the
end of Week 4. Please post questions in the weekly Q & A Forums so the
entire class may view the answers.

Course Project Milestone #1: Health History Form

Your Name:   Date:

Your Instructor’s Name:

Directions: Refer to the Milestone 1: Health History
guidelines and grading rubric found in Doc Sharing to complete the information
below. This assignment is worth 175 points, with 5 points awarded for clarity
of writing, which means the use of proper grammar, spelling, and medical
language.

Type your answers on this
form. Click “Save as” and save the file with the assignment name and your last
name, e.g., “NR305_Milestone1_Form_Smith”. When you are finished, submit the
form to the Milestone #1 Dropbox by the deadline indicated in your guidelines.
Post questions in the Q & A Forum or contact your instructor if you have
questions about this assignment.

Disclaimer: The
focus of this assignment is on communicating details within the written client
record. When taking a health history on an actual client, it is essential that
the information is accurate. Please inform the person you are interviewing that
they do NOT need to disclose
information that they wish to keep confidential. If the interviewee decides not
to share information, please write, “Does
not want to disclose.”